Partograph 2019

slide share on partograph-2019 update. obstetrics and gynecology

1. PARTOGRAPH MS. ANJALI D. PATEL F.Y. M.Sc. NURSNG SSRCN, VAPI

2. DEFINITION Partograph is a composite graphical record of key data (maternal & fetal) during labour , entered against time on a single sheet of paper.

3. POINTS TO BE KEPT IN MND In cervicograph , the alert line starts at 3 cm of cervical dilatation and ends at 10 cm dilatation. (At the rate of 1 cm/ hr). The action line is drawn 3-4 hours to the right and parallel to the alert line. In a normal labour , the cervicograph should be either on the alert line or to the left of it.

4. When it falls on zone 2, it is abnormal & need to be critically assessed. When it falls in zone 3 case should be reassessed by a senior person. Decision is to be made either for termination of labour ( caserean section) or for augmentation of labour ( amniotomy or oxytocin ).

5. COMPONENTS OF PARTOGRAPH/ METHOD OF RECORDING PARTOGRAPH

6. FETAL HEART RATE

7. LIQUOR/ DESCENT

8. CONTRACTIONS/OXYTOCIN/DRUGS & IV FLUIDS

9. BP/PULSE/TEMP/URINE ANALYSIS

10. ADVANTAGES A single sheet of paper can provide details of necessary information at a glance No need to record labour events repeatedly It can predict deviation from normal progress of labour early. So appropriate steps could be taken in time.

11. CONTI… It facilitates handover procedure Introduction of partograph in the management of labour has reduced the incidence of prolonged labour and caesarean section rate. There is improvement in maternal morbidity, perinatal morbidity and mortality.